ALL CITY MANAGEMENT SERVICES INC. 5E - 2014

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4COR0 CERTIFICATE OF LIABILITY INSURANCE D05/23/2014�1 TYPE OF INSURANCE ADDL IN THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Roberts s t Dr. Inc. 12221 Merit Dr. #300 Dallas, TX 75251 CONTACT NAME: PHONE (972) 770 -4450 FAX No : (972) 7704451 E11AIL ADDRESS: INSURERISI AFFORDING COVERAGE NAIC N INSURERA: American Zurich Insurance Company 40142 INSURED Trendsetter HR LLC Labor Contractor, for leased workers to: ALL CITY MANAGEMENT SERVICES, INC INSURER B, DAMAGE TO RENT ED PREMISES Ea occurrence INSURER C MED EXP (Any one person) INSURER D: PERSONAL BADV INJURY 2850 Shoreline Trail PMB #137 Rockwall, TX 75032 INSURER E: INSURER F : COVERAGES CtKI IFICATE NUMBER: 14TX033855709 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL IN UBR POLICY NUMBER MNOVLDDYIYYYY MMIDDYA I'YY LIMITS GENERAL LIABILITY r� COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE E DAMAGE TO RENT ED PREMISES Ea occurrence E MED EXP (Any one person) 3 PERSONAL BADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGO $ POLICY PRO- LOC IFCT $ AUTOMOBILE LIABILITY Ea accitlent IN LE LI I $ BODILY INJURY (Per peson) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accitlent $ I$ UMBRELLA LIPS OCCUR EACH OCCURRENCE S AGGREGATE $ EXCESS LIAR ' CLAI MS -MADE DED I RETENTION$ $ A AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED' ❑ NIA' WC 48 -41- 628 -01 06/01/2014 06/0112015 X WC STATUS OTH- IE E. L. EACH ACCIDENT $ 1,000,000 DISEASE - EA EMPLOYE $ 1,000,000 (Mandatory in NH) If yes, describe under 'EL. E. L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below Location Coverage Period: 06/01/2014 06/01/2015 Client# 331371 -CA DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) ALL CITY MANAGEMENT SERVICES, INC Coverage is provided for 10440 PIONEER BLVD STE 5 .j.,, only leas those but not ees r�, AID leased to but not SANTA FE SPRINGS, CA 90670 V "� subcontractors of t YlY r vA /�V City of Santa Ana 60 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE f 0 ACORD CORPORATION. All ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD